Individual provider · Type 1 NPI
Cory Scot Goldberg, MD
Plastic and Reconstructive Surgery Physician · Los Angeles, CA
NPI number
1669545901
Active
Practice location
4650 W Sunset Blvd, MS#96
Los Angeles, CA 90027-6062
Fax (323) 669-4106
Mailing address
6430 W Sunset Blvd, Suite 600
Los Angeles, CA 90028-7901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A97840 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1669545901
Cory Scot Goldberg, MD's National Provider Identifier is 1669545901, issued on Nov 16, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.